Michael Dixon Shane in Santa Rosa - Diagnostic Ultrasound
Michael Dixon Shane - NPI 1154401990
Michael Dixon Shane is a Diagnostic Ultrasound in Santa Rosa, California. Michael Dixon Shane practices all healthcare services and medical treatments related to Diagnostic Ultrasound. The NPI Number for Michael Dixon Shane is 1154401990. The last update date is 2009-07-07.
Michael Dixon Shane's current location address is 121 Sotoyome St, Santa Rosa, California. You can contact this provider via phone number 7075464062 and fax number 7075786258. The mailing address for Michael Dixon Shane is 121 Sotoyome St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Michael Dixon Shane |
---|---|
Address | 121 Sotoyome St, Santa Rosa, California |
Phone Number | 7075464062 |
Fax Number | 7075786258 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1154401990 |
---|---|
Provider Enumeration Date | 2006-10-16 |
Last Updated Date | 2009-07-07 |
Provider Mailing Address Detail
Address | 121 Sotoyome St |
---|---|
City | Santa Rosa |
State | California (CA) |
Post Code | 954054823 |
Phone Number | 7075464062 |
Fax Number | 7075786258 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Ultrasound |
---|---|
Taxonomy | 2085U0001X |
Licence No | C30136 |
Definition: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00C301360 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Dixon Shane by the Centers for Medicare & Medicaid Services?
The Michael Dixon Shane has been assigned the NPI (National Provider Identifier) 1154401990. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Michael Dixon Shane?
The Michael Dixon Shane is physically situated at 121 Sotoyome St, in the city of Santa Rosa, state of CA, with the postal code 954054823.
What is Michael Dixon Shane's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Dixon Shane's specialized field of practice is Diagnostic Ultrasound, and the corresponding taxonomy code that categorizes this area of specialization is 2085U0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154401990 to Michael Dixon Shane?
The Centers for Medicare & Medicaid Services originally issued the 1154401990 to Michael Dixon Shane on 2006-10-16.
As of what date was the information pertaining to Michael Dixon Shane, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Dixon Shane, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-07-07.